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HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS #1 BLK 7 LT 2Thunderbird Heights #1 Lot 2 Block 7 #051-581-06 Municipality of Anchorage AUG ® 2p19 Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number. OSP191118 PID Number. 051-581-06 ❑ New N Upgrade Name: PAUL AND MARY FLETCHER ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ound Address: 24536 THUNDERBIRD DRIVE, CHUGIAK, AK 99567 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depthfrom origin de: 702-209-8007 4 GPD1Sq. FL Ft LEGALDESCRIPTION Depth to pipe Invert from original grade: Ft, Grave epth beneath pipe: Ft. Subdivision: Block: Lot: THUNDERBIRD HEIGHTS #1 7 2 Fill added above original grade: G Gravel length: FL FL Township: — Range: — Section: — Gravel width: FL Beds Number of lines: Distance between lines: FL SEPARATION DISTANCES Total abso p' area: Numberof trenches: Dist between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines sq. FG Ft Well 100'+ _ _ 25'+ TANK ■ Septic ❑ S.T.E.P. ❑Holding ❑ Other Manufacturer. capacity. Surface Water 100'+ - - - ANCHORAGE TANK 1250 N/A Gal. Lot Line 5'+ - - - Material: Number of compartments: STEEL 2 Foundation .10'+ LIFT STATION Curtain Drain NONE KNOWN Manufacturer. c Gal. Remarks: 'SEPTIC TANK IS 5'+ FROM CLOSEST PIER BLOCK FOR 'Pump on" level at "Pump off" level at High water alarm at LOW LYING DECK (<30"). 7PUMPe & Moder Electrical Inspections performed by. PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer ARM SEPTIC SERVICES Drainfield EXISTING CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft Inspection Location and Description: Dates: 1 St 7/17/2019 2nd - 3rd - 4th BACK PATIO DOOR THRESHOLD Community Development Department Approval ENGINEER'S SEAL �F ��.� Conditional approval: Date: ;:• = *�'• *�e low.....:.�.%..�.. ....... .... ...!i i�r...Il: ....... .... .i 0� Je rey A. Garnhss .c• i �j�i :./• CE -791 °�=o 1 I `j .....�ONP��•• Approved: �X/l/ [Al?�'t� Date: ?Sl 1 I pp 1 ICEN •sem 41,1,,I`S� # Inspection Report _1-1-12.doc OSP191118 RECORD DRAWING 05158106 BER: KEY BOX LOCATION I , PER AWWU DRAWINGS 1 I LOT 1, BLOCK 7; APPROXIMATE LOCATION 1 THUNDERBIRD HEIGHTS #1 WATER SERVICE LINE 1 �T I y, 1982 TRENCH. LIQUID LEVEL IN Z THIS TRENCH DID NOT CHANGE " I LOW-LYING DECK (<30" TALL) DURING 4/16/2019 ADEQUACY TEST SUPPORTED BY PIER BLOCKS 1987 TRENCH. , PASSED ADEQUACY TEST ON 4/16/2019 T •� C1 DOUBLE CLEANOUTS yycti y I (DBL1 & DBL2) m 3 I yopso . i F I NEW 1250 GALLON STEEL SEPTIC TANK r I , A B FCO 25.8 2.7 I ST1 36.1 13.8 ST2 36.5 19.5 DBL1 36.4 21.2 DBL2 35.5 20.7 I C01 55.0 41.7 MT1 54.9 41.6 SUMP 14.8 29.2 N I SCALE: I 1"=30' I NOTE: THE OLD 1,000 GALLON SEPTIC TANK WAS LOT 1, BLOCK 7; I I FILLED WITH CONCRETE AND DECOMMISSIONED IN THUNDERBIRD HEIGHTS #1 PLACE AND THE OLD 500 GALLON SEPTIC TANK WAS I REMOVED AND DISPOSED OFFSITE PER THE CONTRACTOR I AV GARNESS ENGINEERING GROUP, Ltd 9 —__ -- - - CIVIL & ENVIRONMENTAL ENGINEERS--------] -ANCHORAGE, 10 3701 E. TUDOR ROAD, SUITE 101 AK 99507 -PHONE (907) 337-6179 -FAX (907)338.3246'WEBSITE: www.gamessengineering.com ,........................ •••••••••••• ..........�;!•. '� A. ess PREPARED FOR: PHONE NUMBER: PAGE NUMBER: :: �`c= PAUL AND MARY FLETCHER 702-209-8007 2 OF 3 ♦ CE- ' _•� ♦J'�•. �AW •..� !� I ••AV ♦1 PROJECT/LEGAL DESCRIPTION: DRAWN BY:♦ THUNDERBIRD HEIGHTS S/D #1; BLOCK 7, LOT 2 J.L.M. Q p•••• •.••• ••P\,:�� LCE NSE,'��.-ESS \\\�• TYPE OF WORK: DATE: REVISED RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 8/12/2019 #AECc8aa PERMIT NUMBER OSP 19 1118118: RECORD DRAWING FINAL GRADE = 97.92-98.45 TOP OF TANK2" OF INSULATION AT INLET = 95.00—\ PER CONTRACTOR) INVERT OF BUNGI NEW 1250 GALLON AT INLET = 94.37 / ----/// SEPTIC TANK PARCEL ID NUMBER: 051-581-06 —TOP OF TANK AT OUTLET = 95.07 -INVERT OF BUNG AT OUTLET = 94.29 ..••• ' Ste• ♦:.I e e . Gar ess c w. i c1� � E AV LICENSEilkx #AECC884 GARNESS ENGINEERING GROUP, Ltd '—�— -- _- --__ - CIVIL & ENVIRONMENTAL ENGINEERS-------- -�_— --� 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907)338-3246 * WEBSITE: www.gamessenglneedng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: PAUL AND MARY FLETCHER 702-209-8007 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: THUNDERBIRD HEIGHTS S/D #1; BLOCK 7, LOT 2 J.L.M. TYPE OF WORK: DATE: �,_ RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 7/31/2019 PARCEL ID NUMBER: 051-581-06 —TOP OF TANK AT OUTLET = 95.07 -INVERT OF BUNG AT OUTLET = 94.29 ..••• ' Ste• ♦:.I e e . Gar ess c w. i c1� � E AV LICENSEilkx #AECC884 X I 8435Q F13 SCALE: V_ 40' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. UNLESS OTHERWISE NOTED lot* 4%:p, *Nxxx % I I # °,F AW A, • ow 4-9 th 0 0 s O's 0 0 0 0 0 V* 0 0 0 0 0 0 0 0 I Jr 'Al lizabeth L. alatka 0 �./ 8036 — LS o - AW @ 1- 7 C6 ~ lop AW �?Op'ess I ONA_ 'MW FE 19-71 P9 RCJ WS19 9E RECERTIFIED 8-06-19 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property:.Lgt 2 Block 7, THUNDERBIRD HEIGHTS #1 Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 151h day of_ April _,2016. FRED WALATKA & ASSOCIATES, L.L.C. Engineers and Surveyors 907-248-1666 MUNICIPALITY OF ANCHORAGE t„cnr On-Site Water&Wastewater Program '5.;. PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite -16-1-1-10117 1) MCI)t On-Site Wastewater Disposal System Permit Permit Number: OSP191118 Effective Date: 4/23/2019 Work Type: SepticTank Upgrade Expiration Date: 4/22/2020 Tax Code Number: 05158106000 Site Legal Address: THUNDERBIRD HEIGHTS#1 BLK 7 LT 2 G:1865 Site Mailing Address: 24536 THUNDERBIRD DR, Chugiak Owner: FLETCHER PAUL JOSEPH ANDREW Lot Size in Sq Ft: 28993 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Provide a minimum 5 ft separation between the new tank and deck supports if deck is>30” high. Received By. Date: z`S 1 Issued By: labe&A Aivt, g Date: 9®/7 MUNICIPALITY OF ANCHORA ' 45641 er) AD, Community Development Department Phone �7-343-7�0 !g Development Services — Fax: ',Cc- 343-7997 On-Site Water & Wastewater Program G ,i,•,Mayor Dan Sullivan 6 8 L g g 7 - On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 0.5-/-5,3 (-O ' Property owner(s) PAUL AND MARY FLETCHER Day phone 702-209-8007 Mailing address 24536 THUNDERBIRD DRIVE, CHUGIAK,AK 99567 Site address 24536 THUNDERBIRD DRIVE, CHUGIAK,AK 99567 Legal description (Sub'd, Block& Lot ) THUNDERBIRD HEIGHTS#1; BLOCK 7, LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family(SF) Absorption Field ❑ (w/wo ADU) Septic Tank ® Upgrade El Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: NONE Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP,Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: c9A5 Waiver Fees: Date of Payment: gl)aa-1 tq Date of Payment: Receipt Number: 0'0)330 Receipt Number: Permit No. O5Pl q tits Waiver No. (Rev.01/11) Quanics , 4. s„._„_„, GARNESS ENGINEERING GROUP, Ltd Dealer ENGINEERING SALES CONSULTING April 19, 2019 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Upgrade for Thunderbird Heights S/D #1 ; Block 7, Lot 2 To whom it may concern: The referenced property has a 4 bedroom residence that is served by public water and a private septic system. The septic system consists of a 1 ,000-gallon septic tank, 500- gallon septic tank, and two (2) deep trench type drainfields. The 1 ,000-gallon steel septic tank and the original deep trench was installed in 1982; and the 500-gallon steel septic tank and another deep trench drainfield were added to the system 1987. We have recently performed a septic adequacy test on the 1987 trench and found it to absorb 600+ gpd. Due to the age of the septic tank/s, the owners would like to upgrade their septic tanks. Attached is a design drawing showing the proposed septic tank upgrade. We are proposing that both the septic tank be excavated and completely removed, and a new 1530 2-compartment Infiltrator tank or a 1250-gallon steel septic tank be installed in the same area as the old septic tanks. This will require removing the southern portion of the deck and permanently removing the deck and sono-tube supports. The northern portion of the deck is supported by pier blocks and can remain in place. A portion of the fence will also need to be removed for this installation. The owners are aware of the impact on the decking and fencing required for this installation. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. I you have any questions, please contact us at 337-6179. Thank you foour as 'st.n _. Since ly, , I re A. Gar : s, ' E., M.S. Presi.-n 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246'Website: www.garnessengineering.com 1 I NOTE:ALL PROPERTIES IN 11 \ HERITAGE PARK S/D ARE KEY BOX LOCATION SERVED BY PUBLIC WATER LOT 1,BLOCK 7; PER AWWU DRAWINGS ` 1 THUNDERBIRD HEIGHTS#1 APPROXIMATE LOCATION 1\ \ WATER SERVICE LINE 1 1 1 G\ —1982 TRENCH. LIQUID LEVEL IN 4 Z ' PROPOSED 1530 2-COMPARTMENT THIS TRENCH DID NOT CHANGE /,' O 1 INFILTRATOR SEPTIC TANK OR DURING 4/16/2019 ADEQUACY TEST ,Ll 1 1250 GALLON STEEL SEPTIC TANK . / 1 1 1987 TRENCH. .i'` N 1 PASSED ADEQUACY - / 1 O 1 TEST ON 4/16/2019 S`5 TEST • / 011 . 0 1 ... m l * 1 INSTALL DOUBLE °--- O2, �� \ 1 CLEANOUTS �� X/ Z 1 46kc„ti,v ' T. tiO�s°OM EXISTING 1,000 GALLON AND NIP �'500 GALLON SEPTIC TANKS 1 TO BE COMPLETELY REMOVED 1 AND DISPOSED OFFSITE(SEE NOTE) EXISTING FOUNDATION CLEANOUT 042R�g1- • . . . )1(k) NOTE:THE SOUTHERN PORTION OF THE DECK ' ` WILL NEED TO BE PERMANENTLY REMOVED ALONG WITH ALL SONOTUBES.PORTIONS OF THE FENCE ALONG THE SEPTIC TANK WILL ALSO NEED TO BE REMOVED FOR THIS INSTALLATION. I I SCALE: I ii 1"=30' I I GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN.BY PROCEEDING LOT 1,BLOCK T THUNDERBIRD HEIGHTS#1 FORWARD WITH THIS INSTALLATION,THE I ENGINEER,WELL DRILLER,CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE I READ THESE SPECIFICATIONS AND AGREE TO I ACCEPT THE TERMS AND CONDITIONS OUTLINED. r / . 04, .*��� Or I .. ::'--sy. ,0\ .'•* * GARNESS ENGINEERING GROUP, Ltd, , • ANNild CIVIL& ENVIRONMENTAL ENGINEERS • iv • • 3701 E.'TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE:www.gamossengineving.com •••• 7 • ! PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 C111 •- e • -f eSS:: = PAUL AND MARY FLETCHER 702-209-8007 1 OF 1 �.� '•. • CE 795 .' ,�� ♦ I.•.• PROJECT/LEGAL DESCRIPTION: DRAWN BY: (�P''•.•••(t I t(�'�<7• THUNDERBIRD HEIGHTS S/D#1; BLOCK 7, LOT 2 J.L.M. ..FOP ' •••• Cis* �... TYPE OF WORK: DATE: LICENSE,4�1\`\S`� 4� DESIGN OF SEPTIC SYSTEM UPGRADE 4/18/2019 #AECC884 t 0 11 3 8435Q in 0 v 1 co 1 Lot 1 1 1 1 , 0" .,......0"21g 03•///� 111 �i g11°08 .........- septic 1 o rrn a vents 1 C - CZ s deck ry ' ., > cr. 3. l.c cn p. °• 2 Story Frame I m \ 1m w m \\ :; 7').0 11� CI 1 Lot 2 ^ 1 2y0 1 1 V. • "aaphdt `iiiiim.s: ., 1 Lot 5 IL 30 >,, 1 " W 215.93 S79°46'19I Lot 3 �\\\ `� � ' AS-BUILT NO CORNERS SET THIS DATE / .c OF •A‘...,(4 1 I hereby certify that I have performed a Mortgagee's inspection i P•• • `A •s/r- �, of the following described property:Lot 2.Block 7. th •'9THUNDERBIRD HEIGHTS SUBDIVISION.ADDITION No.1 °•i"°4,�) 00 Anchorage Recording District,Alaska,and that the-e� Y tiJ improvements situated thereon are within the property lines A and do not overlapor encroach on theproperty lying Walatka:,ff � • I, adjacent thereto,that no improvements on the property lying rF•• 3255 - S •• , - _ adjacent thereto encroach on the premises in question and i 4c`0 • . • or* that there are no roadways,transmission lines or other A4 •J`' visible easements on said property except as indicated "— 40' 1 oFEssior+►� ` hereon. SCALE: 1 1%xs..N.N.' Dated at Anchorage,Alaska this 15th day of April ,2016. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES PLAT ARE NOT SHOWN HEREON. RCJ CH (907-248-1666) Engineers and Surveyors W 11 1 W-4,1 � V7 1._ I . :I �.:; w �s'y�jkf }rf nr et ,�,'�t)4K �. IF77 �� J � I _1_ , � .3 ,'d)11��7} � �f, S. q� 1, � � w t ^' !. e�. '{ a f• j' 4 -1- r a j t�{ g �.. a,} .- f I E _ 1S�n� �!'.li..w f,tk ��• � h>> S yF� ca_,. rt.i7 � �aAl i d �F�S eel if A, i' f I i k .t �r tib, -F • ���e�t' e'R �k� � ,�' `� . rYY.- ��r�}t /-'( -_ e1.e�' L;1 �r 5 ►, a i d 1� Ax by N �r,lr���� G�dj1 1 i ^, MUNICIPALITY OF ANCHORAGE DEI ITMENT OF HEALTH AND HUMAN SER\ :S _ Environmental Health Division 825"LI'Street, Anchorage, Alaska 99502, Telephone 2644720 ' ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES C Al e =f v , Tp SEPTIC ABSORPTION WELL Adore>s Ha /n�e FROM TANK FIELD / Ynonepl � permit No Nu of Nedraoms WELL `•f/rC [: (U')I/C sz:_ {Z+r/O $%D / ( / LOT LINE L •r / LEGAL DESCRIPTION Lot 'q block s�� air d, "Cl , rr FOUNDATION/ 8 " I ewromD HangP. Sectionp y r r tines. lounaatron. AS -BUILT DIAGRAM ISnuw locatron m wen. se uc system. p ope ry / omoway water woles. etc I TANKS 6C SEPTIC ❑ HOLDING Al.muwcm,er Gapacny m gaeons �rrf r S'r'r Atabna� No OI Companmenls TYPE OF SYSTEM CC Kl TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER - II iYr r Depth to P -Pe Dottum Iron! 10,41 oepin Irom original g,aoe ' q e *M or.g.nal g,aoe %i%'� FT / - FT Fm added alwve outanal gmdu GrmN ovpm peneatp pre c i FT G FT Guw+ lengtl, Gravel won" FT 3 FT Intal atiwrption area I[),stance Detween Imes SO FT -- FT Number W idles pipe malenal *SEf% SO FT Pr/Cy SD,C 31' mS:xue• h. Date Installed WELLS ❑ PRIVATE K OTHER Iderttifvl C,e>mhr.ailun lA.b Lr lot• (:aSrd lu A,16 f Fi FT REMARKS: a Tyle -4- Nr r a .-e / /#I S ,e . Co first I I I I I + ft±El± Scale:= �• / /O ENGINEERS SEAL .sj1 �� NY' t «Ot. Q/A•l Ti -a f S e /% % u r��e Inspections Pedolmed by (' iir;.1a...i Cp d of F fYrn `ir/ e la Data ' cergly that this inspection was pedormed according b all�t��, Municipal and Stale guidelines In ellecl an this date %A r/t 7 Health Department Approval: Date 72-013 (3,85) y . t": {� r.r �_ �� z r=• �ti {_ � _i �r r� {_ � rs c F -1:J { :: �''� �, f=- DEF'Afi`rME=hJT OP HEALTH (ANC) E.NVIRUN!'L'_IVTAL PROTE!CI'ION L' 5 L STP.ECT, ANIAIURAGE, Ak:. 99501 :_'64-11 O1•a 166 UF'Ci'r{ADF l; 1 I: CiI_lEl : 7/(79/137 px o uF;3� �- f ;Flh I T: I IUME. Euu 1 T Y �o,.. E'x�+voV ^1j NORr[I CALIFORNIA DLVU IQALhJU'T CFiI-Ek . CA 99596 Li'ul.a.I F'I;UIIL: :'�`,1-Si)4U OUDDIVISION: THUNDEEFCE!IF1D, HC;TS. LUT: BLOCK: 7 11317: 25 TOWISHIP: 16N RANGE; lU , '750U (SU. F 1 . Cm ACRES) c.;:rtify that.: �- sew,:�r<_s and wells a set 1. 1 am ftimiliar with the regUirernents• for on -cite forth by this MUnicipality of Anchnrage (MOA) and th" State of Alaska. I will iris;tall the system i.n accordance with all MI:r", ci-idess and re:gUlations, and in c-0n1pliance with the design criteria ofthus , rrnt. 1 will ,i,iJiFre to all MOA and Stat" of F;lasf.a reiTuir cntn for the sect back: die,tenc0 fro,(• any e;:isting well, wastewater dispc.s; t y .,ter or public w,.ragra sys'..e•m on this or, any adjacent or near;.ry 1. C. If-'] STATION IS INSTALLED IN AN ARfi-A COVERED By MU . i LJTI_DING CODES, ?! F1) AN ELLCTf:ICAt_ F'EFtMIT AtJD IN fECT10^J huJi�T EJE OI IN_D: (,2) AS-PUILTG �0;LI_. I'IUt f.,l:- (:pprOVU) WI'THOUr AN LL!--CTRICAL. It,',PLCTTpN r�� I-�.A(1:; CiN`J <�%) THI_ f'-il:1C;AL Wiit1K HUSI PE Cl A L1C.LNSED ELFCTRICIAI. „! 1C:i171: TIIIMI_. :tJ[TY r"S;f fl GLS � �`., e� 400,44n 4. s I GOF Nh` ��� 3• t iIV Ir y: {.9� Sols r�Mj up.0yGaEID;JR.� / :•'L(•i.b rock tll'i• CE-2251 AV. ,+k PtDIISSItl �i� ASBUII.T k" " ', I Laeb7 «rtity ttut I have led the iallowiett 6e;aibed t4 C JtoehoZVVRecording Precinct, Alaska, WAtbetthe tmpravo-', st Fw..ti .,;• _? } _ : u=u situated thetton xre within the Ilt� and do ajacent there- �}':.. asY��L 4 7 •� ut�.tCnoD�pperoeato n RoDpmperty�iaCeeat tLmabo.. encroach on the .premises in Quertion and that there are aao .,-.... ..: ': roadwayr, bsnI •Talon lines at other visible.ahmerthmts as acid DroPKO' except as IrAir&W bereaa.. ..; ;. t •••• ••i '' Dated at LWe'River. 7tlnka •�4 1; i:iha ,r!.� ut.19 w,..,,t' ,,'�,�i< ��• ",..� r' ..�.•'` • . .. RWERT a JOFOWN r ati rnr'•+••• '' 1�. •: - SCALL: •r. _ Registered reyor No. saD IS L YI •`i, ., i' i" - 1^ =�o box 4Z Eai:{e Ricer. ltlaska. r-. � OF A4�!t ,♦ .••., 'w�� : (E INEF,FTSi U i*. 4 TH p�' ;.000 _ ..•... 0000•::. .` Municipality of Anchorage e DEPARTMENT OF HEALTH & HUMAN SERVICES �, ••• .......... ••� 825"L: Street, Anchorage, Alaska 99502-0650 U c aEID, Esc �"'1 1,.�.,••CE-2251 `Aw SOILS LOG — PERCOLATION TEST PERFORMED FOR: Bon DATE PERFORMED: X3 -87 LEGAL DESCRIPTION: LpTY BtatK %i//�NO[fQ0b Township. Range, Section: TG� oR/w SEL Zs� IFEETI 4T 1 16 17 18 19 WAS GROUND WATER to ENCOUNTERED? /V IF YES, AT WHAT DEPTH? Depth to wap After x_30-8 Ueniloring7 Detc o�/bYl 2 3 e � SI�L�I 6PMC� 5 • , `. 6 7 sA — iSv� ' '•• 8 ' �,zw�utl sn•�D 9 to- 011 it- 12- 121314 13 - 1 4 e,JD 15 16 17 18 19 WAS GROUND WATER to ENCOUNTERED? /V IF YES, AT WHAT DEPTH? Depth to wap After x_30-8 Ueniloring7 Detc 20 I I PERCOLATION RATE Iminutesmch7 PERC HOLE DIAMETER u f TEST RUN BETWEEN FT AND FT COMMENTS fo/L of4%ta 7,4- aii?F✓i .ZaTMC77 PERFORMED BY: 14FG5 19%W/E.✓ 1.f��•�� • "`L— CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: G—TO-pC% __ 72-0081Rev_4, BS)_ -_-_--ell - 20 I I PERCOLATION RATE Iminutesmch7 PERC HOLE DIAMETER u f TEST RUN BETWEEN FT AND FT COMMENTS fo/L of4%ta 7,4- aii?F✓i .ZaTMC77 PERFORMED BY: 14FG5 19%W/E.✓ 1.f��•�� • "`L— CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: G—TO-pC% __ 72-0081Rev_4, BS)_ `. l . �'E�Y/A'1_.•4pbfhD6 Cuf+ifMAI)7 ^iA� .••' ' ..•.f1✓Ei .Sort�.,gi4Ti,�/y. J38'�• '. .. . ' . oa( ,Yr�cs'l� '. Tom. Fn...+ 11 .. . ,r�;... ''bK- c.•' •� Vic. ,i h�+ � ✓\ � �' r.ts•R �, ........ .......... •: CE 2257.; Jr ' I hereby ceitsiy that I haze yed the following daaibed '•-�=''�-'�:::.'--�=�` -� �' ;� - ,:.�,' 7t��-dam—t� ���•:,a�L./ �w,! 3� 444 wNp. ,� t .. r�`•.. k 1 <: Anchor see Aedi cornr Psettnet,Ahnks: that the tro e' t • ,•.s ++ meal situated thereon ate wtthta the�ropert� do not overlap or encroach on the DroDat71S'tat s diatent them • t% that no Ira vements to adjacent therok is . ' . encroach oa the premises In'propert7 and a t there r wr...w .«..... .�... pr Question aad chat then an m roads•,ys, tranamiseton !!np of other visible taaert»L os «�. •. . r •, acid property except as Lotlic ted hereon. . Dated at Eagle Rt"r, Alaska t9fA. —Aay of •l.. �y ' �:� • moi= �' ..•.. Zti��'cC//����''rr^}}��r1�.:.•+'�•• •i 'r' I{DIIF1ii C...IOSi'ISON ��•�e1 a(•r n`• `rr'r- - _. �;••�• 'r. Reyitterad Land Surveyor No•°°v' ,.:IFIED SYSTEM ASTM D-2487 T';i.'\DERBiRD RTS 1,2117 SAMPLE IDENTITY 4 FT PISSING x200 SIEVE: 0.70`6 PASSING e 40 SIEVE: 6.10% PASSING a IC SIEVE: 20.70'. PASSING . 4 SIEVE: 31.000 FAS$i NG 1i2 IN SIEVE: 43.70' PASSING 3i4 IN SIEVE: 49.60'. PASSING I INCH SIEVE: .`,6.90.0 PASSING 2 INCH SIEVE: F,5. GO. PASSING 3 INCH SIM. 100.00% BIG IS 0.70 MM. D30 I 4.00 MM. D60 IS 28.00 MM. TII:: LIQUID LIMIT IS UNKNOWN THF PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX IS UNKNOWN r;; 40.00 cc - 0.816 TIM SOILS ARE COARSE GRAINED T11E SOILS ARE GRAVEL RETAINED: 5.40% RETAINED: 14.60% RETAINED: 10.300 RETAINED: 12.700 RETAINED: 3.90° RETAINED: 7.30°0 RE':AISED: 28.70°0 RETAINED: 14.400 RETAINED: 0.00'. THE SOILS ARE POORLY GRADED GRAVEL.(GPI THUNDERBIRD 11TS 1.2117 TF.STHOLF - SA>:PE.F DEPT!I - 4 FT ------------------------------------ PFRCC.NT PASSENC 9200 SIEVE 0.7 PFP =:T PASSING 4100 SIEVE 1.6 PERCENT PASSING 9 60 SIEVE 3.1 PERCENT PASSING 9 40 SIEVE 6.1 PERCENT PASSING 9 20 SIEVE 11.6 PERCENT PASSING 9 10 SIEVE 20.7 PERCENT PASSING 9 4 SIEVE 31.0 PERCENT PASSING 1/2 IN SIEVE 43.7 PiTCI.NT PASSING 3/4 IS SIEVE 49.6 PERCENT PASSING 1 INCH SIEVE 56.9 PFRCENT PASSING 2 INCH SIEVE 85.6 PERCENT PASSING 3 INCL[ SIEVE 100.0 UNIFIED SYSTEM ASTM D-2467 THUNDERBIRD L2 BLK7 SAMPLE IDENTITY 9 FOOT PASSING #2UO SIEVE: 4.40% RETAINED: 30.50% PASSING # 40 SIEVE: 34.90% RETAINED: 21.50% PASSING # 10 SIEVE: 56.40% RETAINED: 7.702 PASSING # 4 SIEVE: 64.10% RETAINED: 12.50% PASSING 1/2 IN SIEVE: 76.6U% RETAINED: 9.90% PASSING 3/4 IN SIEVE: 86.50% RETAINED: 1.40% PASSING 1 INCH SIEVE: 87.90% RETAINED: 12.10% PASSING 2 INCH SIEVE: 100.001 RETAINED: O.OU% PASSING 3 INCH SIEVE: 10U.00% RETAINED: 0.00% DIO IS 0.15 MM. D30 IS 0.38 M.M. D60 IS 3.00 MLNf. THE LIQUID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX IS UNKNOWN CU - 20.00 CC - 0.321 THE SOILS ARE COARSE GRAINED SANDY SOILS THE SOILS ARE POORLY GRADED SAND.(SP) THUNDERBIRD TESTHOLE - D - SAMPLE DEPTH - 9' ----------------------------------- PERCENT PASSING #200 SIEVE 4.4 PERCENT PASSING #100 SIEVE 9.7 PERCENT PASSING # 6U SIEVE 19.2 PERCENT PASSING # 40 SIEVE 34.9 PERCENT PASSING # 2U SIEVE 46.8 PERCENT PASSING # 10 SIEVE 56.4 PERCENT PASSING # 4 SIEVE 64.1 PERCENT PASSING 1/2 IN SIEVE 76.6 PERCENT PASSING 3/4 IN SIEVE 86.5 PERCENT PASSING 1 INCH SIEVE 87.9 PERCENT PASSING 2 INCH SIEVE IOU.O PERCENT PASSING 3 INCH SIEVE 100.0 r^ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME phf PHONE f -q6 5 NEW ❑UPGRADE MAILING ADDRESS s'507 LEGAL DESCRIPTION 47 �YeY 4� LOCATION NO.OF BEEDROOMS 1 lyyll 7[f/O AbsorpUoreB Duvelbn7 T�Manufacturer PERMIT 10.70 6/ Material` .S/FfLLi No. of compartments F:ot� icapacity in gallons IF HOMEMADE: tside length .�- Width — Liquid tlepth .— DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: W 1 Foundation 20 Nearest lot hne -tic.) ' PE H M I T NO. O LL = �2 No. of lin s length of a ch hne Total lenmh of lines Trench width inches Distance between lines ~ p Top of t7he to finish tirade w Material beneath the 8 t inches Total euffigp/ove at sorption area /'fo� W Length Width Depth PERMIT NO. U al- Type of crib Crib diameter Crib depth Total effective absorption area � DISTANCE TO: Well Building foundation Nearest lot line J C s =_ / Dpp)h Duller Distance to to hne PERMIT NO. W � DISTANCE TO. Building foundation Sewer line Septic tank Absorption area(s) OTHER I PIPE MATERIALS =ROI'% SOIL TEST RATING 4�4� INSTALLER e REMARKS l o p I �ty„aQ dig r 7o b� ,er�v�de I �I I I I APPHnOVED DATE LEGAL 7IS2- 72-013 (Rev. 3/781 [% e... MIJN I C0I. F L- I TY OF= F r4CTf% JRAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION i 825 'L' STREET. ANCHORAGE. AK. 99501 +- 264-4720 01x4—S I TE SEWER F EFZM I T PERMIT NO: C 820961 ) APPLICANT PHILIP L JOHNSON LOCATION INSTALL IN TH#2 AREA ONLY LEGAL 67 L2,.THUNDERBIRD HEIGHTS TYPE OF SOIL ABSORPTION SYSTEM MAXIMUM NUMBER OF BEDROOMS = THE REQUIRED SIZE OF THE SOIL SR2 BOX 5507 CHUGIRK 99567 LOT SIZE 999999 SQUARE FEET IS: TRENCH 3 SOIL RATING CSQ FT/BR)=� 1 / , ABSORPTIONJSYSTEM IS: 1 :2aq CSEF"irwi= "A L_Ef4cwry = 47' C3FZF4N EL GEF"TF-F= THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR D THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION &N FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). FZEQU I FzZaE> TFiNK S I ZE= 1'0010 GFILL_ONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE. NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO C 2 ] I NSF=>ECT I ONS RFZE FZa MU I FZE[? --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EFZM I T EXFF' I FZES E>ECEMBEFZ 311 I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED ISSUED BY PPLICANTW PHILIP L JOHNSON 1nTED2 AND WELLS AS SET ENLARGEMENT IF THE diz 7Y( wK Tff-Z V4V4. 0 -'t -E-0. I .ALINICIPALITY OF ANCHORAGE • `tet DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,- 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED LEGAL DESCRIPTI 1 a .l. 1 2 Jig 3 rt M 4_& .. VP • •..�r -, 8 .'�•� GP)— PAl jrc8ed �:..� ( Oq a els 10 tiT 11 r -- Orivinml Pets} -oorl4 9 re�eci P)- gravQls it 12 13 14 15 16 17 18 19 20 GM 5J' gravels GROUND WATER ENC tl b ENCOUNTERED? IF YES, AT WHAT DEPTHr SOI LS LOG •h ❑ PERCOLATION TEST DATE PERFORMED:It, Iq tq—z_ ITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop +,9� i _� y ••� eERCOLATION RATE I as, i.L11, 1�5 •'� e4 •j� r ST RUN BETWEEN FT AND .01 ti PERFORMED BY: 1�� A .:°_ CERTIFIED BY: DATE (minutes/inch) — FT 12-008 (61791 • 7i/� �' / A.E,C,S „ INC, 1220 W. 25tH. ATMIUE NICfIUMGE, AK. 99501 Supplemental Soils Information.�� Subdivision ynde' 1nj&11smock _ 4! LOT Z LOT LOT LOT TH 1 TH III TH IDEPTH DEPTH DEPTH // (FEET) (FEET) (FEET) 2°pQ"tt��`� 2 2 2 3 w �.S 3 3 3 4 •�• • DOC 4 4 4 5 ;��f \Gr) ASrwelS, 5 5 6 �' • r- 6 6 6 ' (GM)9fawJ 7 7 7 8 t)eafocX 8 9 9 I 9 9 i 10 10 I TO 10 f i ,1 „ 12 12 12 12 13 13 13 13 14 14 14 14 15 15 15 15 16 16 16 16- 17- 17 17 17- 18- 18 18 18 /9 ' 19 --SO 19 20 20 20 20 Mullicipalfty of Anchor pige �.� On-Site Water and Wastewater Program (907) 343-7904 5 , Certificate of On-Site Systems Approval Parcel I.D. 051-581-06 Expiration Date: 'I. GENERAL INFORMATION: Complete legal description THUNDERBIRD HEIGHTS #1: BLOCK 7, LOT 2 Location (site address) 24536 THUNDERBIRD DRIVE, CHUGIAK AK 99567 Current Property owner(s) PAUL AND MARY FLETCHER Day phone 702-209-8007 Mailing address 24536 THUNDERBIRD DRIVE. CHUGIAK AK 99567 Real Estate Agent Day phone ?. TYPE OF DWELLING: ❑X Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTE'U'VA T ER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System 0 Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless olherviise requested by the engineer. Date: COSA Fee S 5—n 1 Ll i a •5o Waiver Fee $ Date of Payment _ 41,3d 1 P -(J /�+ Date of Payment Receipt Number _ 13494 c2 i') Receipt Number COSA#_ Waiver COV iD-1 9 r DiscOUNT APPLIED 5. S T A T ENIEN T OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineerina Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor P,oad, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrev A. Garness Date: I z`f 12-V In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms System #Z Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following #AECC884 \ J'' SOF ON-SITE WATER AND nUASTEV''ATER PROGRAM i���)f)►it11i>i''��� Original Certificattrate: c5.' "►� ?� The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_70-10-12.doc 41j, COSH Checklist Legal Description: THUNDERBIRD HEIGHTS ##1; BLOCK 7, LOT 2 Parcel ID: 051-581-06 If more than 1 septic system on lot: COSA Checklist # 1 of. 1 Structure served by this system 11 x. ELL DATA PUBLIC WATER SYSTEM ❑ Well log Bled With Onsite (or attached) Well production at time of test n Date drilled Water storage tank volumi ns Total depth ft Well disinfected + , coliform test? ❑ Yes ❑ Nc Cased to ft ❑ C - rm bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Ary . r ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) _ In. Collected by Date of flow test for CO Q^ Date of Sample Static water I „ i at beginning of "test ft. B. TANK DATA FT STATION Age of tank(s) <1 years ❑ Requir ' maintenance completed Tank type/material STEEL Age of lift station year Measured operating fluid level in septic tank NEW Lift station material AN Standpipes/foundation cleanout per record drawing Comments- Date ommentsDate of pumping NEW D. ABSORPTION FIELD DATA DEEP TRENCH (1982 & 1987) Which system tested (date installed) '7"5/67 Adequacy test date 4/15/19 ❑ ALL standpipes present per record drawing Results [DPass For 4 bedrooms Total measured depth from grade *1 1.7 ft (max) Fluid depth prior to test **0 in Measured depth to pipe invert from grade *7.5 ft (min) Water added 852 gal ❑ N/A – pressurized field ** u New depth 41 in ,--4v3.2"— ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 045 min depth into effective -a.z RM Code -required soil cover over field Final fluid depth **0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced gallons If yes, enter date Comi-rents/Deficiencies: 'MEASUREMENTS FOR 1987 TRENCH ONLY. 1982 SUMP= 10.5' TOTAL DEPTH, T TO INVERT, 7.5' EFFECTIVE MEASURED ADDTIONAL FILL WAS ADDED TO END OF 1982 TRENCH DURING TANK INSTALLATION. DRAINFIELD NOW HAS 3+ FEET OF COVER **64,5" OF LIQUID IN 1982 SUMP. L.L. DID NOT CHANGE DURING TEST ON 1987 TRENCH. CHECKED L.L. ON 4/22/2020 AND FOUND BOTH MT AND SUMP WERE DRY. ALL STANDPIPES APPEAR FUNCTIONAL. COSA Checklist yellow sheet E. SEPARATION DISTANCES PUBLIC WATER SYSTEMI ~'i rivate Tlell on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift f."' ^ on Lot > '100' Community Sewer Man „ eanout > 100' Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if I ft ate Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' ❑ Yes , if Nn ft ling Tank > 100' ❑ Yes if No ft Neighboring Absorption Fie] 0' Animal Containr > 50' ❑ Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage - , Comte it y Sewer Main > 75' ❑ Yes if No ft ❑ Yes u ft From Septic/Flolding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' El Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > '10' ✓� Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' [✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *5' ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Q Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *SEE WAIVER #WR000054 G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet °"� 0 F q �U A, CE -7953 aprofessio11Qoo OAECC884 C 'D --1 m zC-=D cW>mg: co orn=z C7 izo� D cn °z-, m f=ox z zz=o 11 o=mo o mmm- omn0 0 o0M m Z m ao=r<rn a0) 3 D �0 C) N m w = _ V N m2: V d N Q'o O 0 -m m Q o Q o 0 cr m CP _ CD N = a CD (O o p O D Nm = m°'mm0�m ��. �_0 oo-°m00 tea? CD mm N m = m C a = y D O o S� m m n N 3 n.—n0 =3 ID � mom cam vm 0No3om0a :3°�_�ma 'v°a CD ° s° m o N m m 0'. D Ln D 23-03 = m um,A `..3 a mmm�g-gD a CL -j �N3 m °m o �v2'm c� a=mao=CL mo N CD mc=D��mc(og 0ca vo'M o a!RC-9 o cs vCD O rmN'm n m m um Q ID N m = -0 Cl) a 5 n r t° o' r = C) r- 0 m U m n _ m D�`�(� .� m CD 20 °:2 CD 3 m 0 0 Q CD S4.�b9b='8 O -rt m Cl z m O ;u z m C m U) D m 009£G - until � anuo Plicil r 0 0 8435Q co 4�-- ca m rx Parcel I.D. _051-581-06 Municipality of Anc On -Site Water and Wastewater (907)343-7904 Certificate of On -Site Systems Ap APR 2 0 2016 M' , L Expiration Date: 1 —( q- 1. GENERAL INFORMATION Complete legal description Thunderbird Heights 9.1, Block 7, Lot 2 Location (site address) 24536 Thunderbird Dr. Current Property owner(s) Alaska Property Recyclers Day phone Mailing address 5741 Jordan Cir. Anchorage, AK 99504 Real Estate Agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER, SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System WaiverNariance request for: Received COSA to be released to the engineer, unless Day phone requested by the engineer. Date: `T �i�% / COSA Fee $ _� ^ Waiver Fee $ Date of Payment 7 �� lG7r��o Date of Payment Receipt Number O�Jta Receipt Number COSA# 6SUip 1 Waiver#,t ,I, TYPE OF WASTEWATER DISPOSAL: ❑ Individual M ❑ Holding Tank ❑ ❑ Community ❑ El Public Sewer ❑ requested by the engineer. Date: `T �i�% / COSA Fee $ _� ^ Waiver Fee $ Date of Payment 7 �� lG7r��o Date of Payment Receipt Number O�Jta Receipt Number COSA# 6SUip 1 Waiver#,t ,I, 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal of yed hereto a as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systeor pproval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functions and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Date 4/19/2016 ...... .. .. Steven R. onnone . CE -8149 , Conditional approval for bedrooms, with the following stipulations: By: wh (�G Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheet ° ., If more than 1 septic system is on the lot: COSA Checklist # 1 of Structure served by this system I Certificate of On -Site Systems Approval Checklist Legal Description: Thunderbird Heights #1, Block 7, Lot 2 Parcel ID: 051 -581 -06 A. WELL DATA Well type Public If A, B, or C provide PWSID # AWWU Well Log (YIN) Date completed Sanitary seal (Y/N) _ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/BOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 10/27119$2-7/11/1987 Tank size 1.000,500 gal. Number of Compartments 2=1 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 4/21/2016 Pumper JR's Pumping C. ABSORPTION FIELD DATA Date installed Sail rating (g:p.d.fftz 125SF/BR or ftz/bdrm) System type Deep Trench Length 29 - 13 ft. Width 3 - 3 ft. Gravel below pipe 8 - 6 ft ` io.0-it6 464 156 Total depth ft.. Eff. absorption area ft? Monitoring tube'y Depression over, field N Date of adequacy test 4/19/2016 4' Results (Pass/Fail) Pass For bedrooms Fluid depth in absorption.field before test 0- in. Water added 652 gal. New depth 39 in. Elapsed Time: 300 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date ■ D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level at Datum Cycles tested Manhole/Access (Y/N) in. High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 200+ ABSORPTION FIELD ON LOT TO: Property line St Building:foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 200+ Fi COMMENTS Survey on File=wAwryL oIj-F,1� , G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 4/19/2016 COSA canary sheet 2-&15.doc t - a,..44. e+rs%ri )i NAAane- CE 8149 Municipality of Anchorage • Development Services Departmen ° Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. oci-s8i-o6 COSA# (VC1i1/6:F9' 1. GENERAL INFORMATION Expiration Date: G — /0 -' / Complete legal description Thunderbird Heights #i Block 7 Lot 2 Location (site address) 24S36 Thunderbird Drive Chugiak AK g9S67 Current Property owner(s) Martin E. James Day phone Mailing address P.O. Box 87782o. Wasilla. AK 9g687 Lending agency Day phone Mailing address Real Estate Agent _Raney Hardman/ReMax Day phone S40-7257 Mailing Address raney alaska.net Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based 'on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Phone 272-8218 Address P.O. Box 102gs4Anchorage. AK ggslo Engineer's Printed Name Steven R. Pannone, P.E. Date g�?/ /vvSZ 5— Engineers Comments: In conducting an adequacy test, l attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines R. Regulations. The retorted results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water .4 •� OF aa4a levels that may fluctuate during the year, and the water usage of the family being served by the system. `P�Ir' __4 ' 0 Thesc conditions are outside the control of the evaluator of this system. All systems eventually fail and: I'D '+ �i 00 satisfactory test results do not guarantee future performance of the system, nor do they guarantee that 4' 491„ '� 0 there are no hidden defects or encroachments. PGS can therefore not provide any warranty for future V performance nor give any estimate of how long the system will Continue to meet the operational j, , 0 requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed 0 (�1 %Ste.en R Ponone? L above. Any reliance upon or use of this retort by any other person or party is not authorized nor will it ��c% ik•• No. CE 8149 confer whatsoever. DSD SIGNATURE 44 5 Approved for ___�L bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory PROGRAM Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:l / //� % K/ 1 �� Original Certificate Date: d in" 11106) Municipality of Anchoragc Development Services Department Building Safety Division On -Site Water & Wastewater Program . • x 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYS TEMS APPROVAL CHECKLIST Legal Description: _Ihunderbird Heights #a Block 7 Lot fi Parcel ID: oc1•SSi-o6 A. WELL DATA Well type A If A. B, or C provide PWSID # 2iiir Well Log (Y/N1 Date mpleted Total depth ft. Of Date of test Static water level Wel( production �` WATER SAMPL Coliform E RE,$tTLTS: colonies/10 Sanitary seal (Y/N)— Cased to ft. WELL LOGj g.p.m. Wires properly p ed (Y/N) _ Casing height ego d) in. AT INSPECTION n. g.p.m. mL Nitrate mg/L Other bacteria Ionies/100 mL ArsenigY mgd Date of sample: _ Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material –Steel Date installed IO 27/iZ i 7//S Tank size (Wrqo gal. Number of Compartments 3 Cleanouts (Y/N) a Foundation cleanout (YIN Y Depression over tank (Y/N) N High water alarm (Y/N) NIA Date of pumping ` 1f0 L0 pumper j!' Pumping C. ABSORPTION FIELD DATA/.55�� 7 Date installed drlSo? 75oi1'raatting (g.p.d./ftZor0bdrm)12S System,type 213eepTrenches Length 29/a3ft. Width 3 ft. Gravel below pipe 8/6 ft. Total depth zi.glio ft. Eff. absorption area 464/aS6 f? Monitoring tube Y Depression over field N Date of adequacy test s/2a/2oao Results (Pass/Fail) Pass For g bedrooms Fluid depth in absorption field before test ZL39 in. Water added600 gal. New depthZ-21A3 in. Elapsed Time: }5 min. Final fluid depth 22W in. Absorption rate >= 6o0' ' g.p.d_ Any rejuvenation treatment (past 12 moa (Y/N & type) _No If yes, give date D. LIFT STATION Date m lIed 'Pump on' level in. Datum Size in gallons 'Pump off level at in. Cycles tested E. SEPARATION DISTANCES \ SEPARATION DISTANCES FROM WELL Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic ervice line Manhole/Access (Y/N) High water alarm at in. Meets alarm & circuit requirements? n adjacent lots On adjac lots Public sewer manho eanout Holding tank An containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation s+ Property line S. Absorption field s+ Water main 2s+ Water service line 2S+ Surface water soo+ Wells on adjacent lots N/A SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *5' waived Building foundation io+ Water main �+ Water Service line 2S+ Surface water loo+ Driveway, parking/vehicle storage 2o+ Curtain drain None Observed Wells on adjacent lots NIA F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R Pannone, P.E. Date /O✓ SYS COSA Fee $ -1 1 V Date of Payment Receipt Number— (Rev. 11105) Waiver Fee $ _ Date of Payment Receipt Number ;. � no CF Hi 7'3 +.• 4, gar'-�_�::�.• Municipality of Anchorage *A� Development Services DepartmentBuilding Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 051-581-06 HAA# (W -6w -b Expiration Date: Z2-09- _Q,- 1. 1. GENERAL INFORMATION Complete legal description Lot 2; Block 7; Thunderbird Heights #1 Location (site address or directions) 24536 Thunderbird Dr. Current Property owners) Jim RobertsonDay phone 688-2403 Mailing address "- Lending agency Day phone Mailing address Real Estate Agent Betty / Ptarmigan R.E. Day phone 688-2321 Mailing Address PO Box 671109 Chugiak, AR 99567 Unless otherwise requested, HAA will be held by DSD for pickup. '7 J$ f a ,Y 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 5: Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System TN Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering Address 17034 N. Eagle River Loop Ste. Engineer's Printed Name Robert C. Cowan Phone 694-2979 204 Eagle River, AK 99577 Date d'7/0` y— 1 ROBERT C. COWAN r 5. DSD SIGNATURE t� Approved for _-4— bedrooms. f9�� •..,,,„,•,„..•• 4' Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory (Rev. OV02) X Maintenance Agreements Supplemental Engineer's Report Other / / Original Certificate Date: 7 - G�44 Municipality of Anchorage • •, e • Development Services Department , Building Safety Division TV On -Site Water &Wastewater Program ' " ` 4700 South Bragaw SL P.O. Box 196650 'Anchorage, AK 99519.6650 www.ci.anchorage.ok.us (907) 343-7904 t HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L,7_ ' i3�' 7�.�n.�or�rY�X ±f<, « � Parcel ID: OS 1 —521 —06 A. WELL DATA Well type _P0 If A. B, or provide PWSID # z1 1 15 6 Well Log (YIN) Date completed _ Sanitary seal (YIN) _ Wires properly protected (YIN Total depth ft Cased to X Casing height (abo round) In. FROM WELL LOG AT IN TION Date of test Static water level Well production WATER SAQMPLE�Znies/100ml. * Coliform mg./I. R Nitrate mg•A• fl. Other bacteria colonies/100 mi. Date of sample: _ Collected by: B. SEPTICIHOLDING TANK DATA / Date installed r 7-11'-97 Tank Type/Material Tank size/tgal. Number of Compartments 2/I Cleanouts&N) Yew Foundation cleanout &N) '4_ Depression over tank (Ye High water alarm (Yo o Date of pumping 6 Z I oq Pumper 5Ct V'-. C. ABSORPTION FIELD DATA � Date installed 10- L 9—�il rating (g.p.d./ft? or ft(Ibdrm) I ZS System type G �.R.S 1: 1 / Length 2 Width 3 IL Gravel below pipe 17 oIft /EH. absor 'ption area 2 Monitoring tube _Y6_9 Depression over field 16 Date depthate of adequacy test 16 23 0�(`Results (Pass/Fail 0. s For /' bedrooms t �t Fiuid depth in absorpticn field befcre test D in. Water added gal. New depth 3 r1 in. E!aosed i me:131 min. Final fluid decth Z in. Absc r;icn ra a >= j�Dd g.p.d• Any re;uvenaccn treatment (pas; 12 mc.) (YIN & type) �J[924 iCc',Ow h If ;res, c.re date �' D. LIFTSTslT1Qt1 Date installed \_ 'Pump on" levet at _ in. Datum E. SEPARATION DISTANCES SEPARA Septic tank/lift station on Absorption field on lot Public sewer main Sewer /septic service fine 'Pump off" level at -- Cycles Cycles tested FROM WELL ON LOT TO: Manhole/Access (YIN) water alarm level at in. Meets alar On adjacent lots On adjacent lots Holding tank manhole/cleanout SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation Jg Property line 5 I ?L Absorption field Water main P 1 4 Water service tine 1 n f t Surface water Wells on adjacent lots �% Q SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: l' Property line 'W �✓ y Building foundation /O r'1- Water main � Water Service line Surface water l r9 U f Driveway, parkingNehide storage Curtain drain ).Mae 1410uK Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION /r{L 1 certify that I have deterined through field inspections and :• review of Municipal records that the above systems are in ...._..._: W7.,.... , conformance with MOA HAA guidelines in effect on this date. JO Engineer's Printed Name 04 ktir C. Co "+/J. ��., .:)—JC Date HAA Fee S y3o - o Q Date of Payment G/ 3 o/ o y Receipt Number O [ (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number, A �s lit r i t 5. AS -BUILT I hereby certify that I have surveyed the following described property:PJ_r c_P 7 ------ `A�,,,e�a^^s'�'�a�., ryi Anchorage Recording Precinct, Alaska; and that the improve- - t` , mens situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property � • -„ except as indicated hereon. e, l-{' Dated at Ea le River, Alaska this ? 37.=� day of 200tb ROBERT C JOHNSON J>r` ,rr� 'd „r SCALE: Registered Land Surveyor No. grd-LS l.r- 0/ Box 77-0456, Eagle River, Alaska 99577 1 `> Phone (907) 694-2543 Municipality of Anchorage • Department of Health and Human Services qau Division of Environmental Services �✓1 On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING 22� �O //�, Parcel I.D. 05'11 - s( —ntl) HAA#blIgCCO:-J Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 2 Block 7 Thunderbird Heights #1 Location (site address or directions)24536 Thunderbird Drive Current Property owner(s) Jay Smith Dayphone 753-5550 Mailingaddress % Partners Real Estate/Cindy Wilson; 11940 Business Blvd. Eagle River, AK 99577 Lending agency Day phone Mailing address Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: W/Z L '71X6 loo 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site X❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class /} Well X❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev _ 01.001' 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval application show that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on- site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. S & S ENGINEERING Name of Firm 17034 Eagle River Loop Road No. 204 c y 3 0) -2 - —Eagle River, 99377 Phone Address Engineer's Printed Name Robert C. Cowan Date_y o DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineers Report Well Flow Advisory Other By: Gv . d �� Original Certificate Date: i Expiration Date: % - .). (� " d 3-025,Rev 01 COl' Reissue Date: IV 5.7 �4_ \ ROBERT C. COWAN tp oC, •.� CE -eS01 +t ell Va trl•�tZ�.l'...-ev.�.�4�D bedrooms, with the following stipulations. Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineers Report Well Flow Advisory Other By: Gv . d �� Original Certificate Date: i Expiration Date: % - .). (� " d 3-025,Rev 01 COl' Reissue Date: Municipality of Anchorage Kt ' E I V E D DEPARTMENT OF HEALTH & HUMAN SERVICES JUL 25 8000 Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (90713%8'4NW' ANCHURACE ^NMFNTAL SERVICES DIVI^' Health Authority Approval Checklist Legal Description: I©7-2arcel I.D.: A. WELL DATA Well type k If A, B, or C, attach ADEC letter. ADEC water system number oZ !7 Log present (Y/N) Date completed Total depth Cased to Casing height (abov round) Sanitary seal (Y/N) Wires properl otected (Y/N) FROM WELL LOG INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 7 8� /0 Tank size Number of Compartments ��� Cleanouts (Y/NJ) Foundation cleanoui N) h Depression (Y/1O N0 High water alarm (Y/N) Date of Pumping Z�o �/ t/ Pumper C. ABSORPTIOFIELD DATA 1z i Date installed /O Z.. Soil rating (g.p.d.lftz q6r 42S OSystem type 1/ze7vG/f Length.42 yrs Width Gravel thickness below piped ,TL Total depth 1Z Effective absorption area.4/04 Monitoring Tube presen&N)� � Depression over field (Y/ - Date of adequacy test 467-5 MD Results (Pass/Fail) At s Forcn Z Az- bedrooms Fluid depth in absorption field before test (in.); 2 ® Immediately after gal. water added (in.): ii/ Fluid depth (ins) Minutes later: 'V Absorption rate = 7 (4009-p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)' Mg D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /sept service line Size in at* On adjacent lots "Pump off" level at* Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation __.J!`- 'f Property line S f Absorption field 5 i Water main/service line Z.S f Surface water/drainage /0 i-/- Wells on adjacent lots N SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation �a �� Water main/service line /12 Surface waterr _" Driveway, parking/vehicle storage area f l� _ Curtain drain ��Nf 4,,0WM Wells on adjacent lots /V F. ENGINEER'S CERTIFICATION 1 certify that / have determined thru field inspections and review of Municipal recorth 0, ` �/We ebaV 9 s are in conformance with MOA HAAZVI— elines in effect on this date. Signature_ '�� ✓ ay��{ir...,.».......t�....% Engineer's Name �8a✓�R� C, C,3w4l 6yp ` ROBERT C. COWAN V�0" •.+ CE -8801 ��- Date /a Y �0 0 ofsr % r HAA Fee $ 3rd • row Waiver Fee $ Date of Payment ,.7 a s - CDate of Payment Receipt Number _0(a6 -%v3 1pp��,�Receipt Number b fob 72-026 (Rev. 3/96)* S& July 24, 2000 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 HEALTHAUTHORITV APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 SEWER & WATER MAIN EXTENSIONS Anchorage, AK 99519 REFERENCE: Lot 2; Block 7; Thunderbird Heights #1 S/D SEWER&WATER INSPECTION Request you issue a Health Authority Approval on the referenced property and grant a waiver for the separation distance between the north property line and the leachfield at 5 feet. We do not anticipate any adverse effects to the referenced ENGINEERING STUDIES ANDREPORTS property or to adjacent properties. If you require additional information, please contact us. WELLINSPECTION &FLOWTEST Sincerely, ,/pq SITE PLANS � o Cowan, P.E. RCC/mjc ROADDESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 S & S Engineering ATTN: Robert Cowan, PE 17034 Eagle River Loop Rd, 9204 Eagle River, AK 99577 - July 26, 2000 Subject: Waiver Request for THUNDERBIRD HEIGHTS #1 BLK 7 LT 2 Waiver # WR000054 Lot Line Request for Parcel ID 051-581-06 Dear Engineer Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 5 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Jeff Poet Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Services Waiver Review Worksheet WR#: WR000054 PID#: 051.581.06 HA#: HA000326 Date Received: July 25, 2000 Legal Description: Thunderbird Heights #1, Lot 2, Block 7 Engineer: S & S Engineerin 17034 Eagle River Loop Road, #204, Eagle River, AK 99577 Applicant: Jay Smith Waiver Requested: 5 foot lot -line waiver Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other: Waiver is Granted: List Conditions or Reasons for above: Date: 7-;)-6-0 a Rec#: 06563 Amount: $115.00 k=11 9113 Waiver is not Granted. By: 1Iz of Reviewer Date Paid: 7/25/00 O & E E1 7I NEERI NG & DEVEL O/,AENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 3335240 Russel/ Oyster MUNICIPALITY OF AN¢¢JA�E 694-2774 rr r C' ,,..,x4152 Civil Engineering C/C•T 9 � cj�Z ENVI£..u: -h•A• ; NrvOyl41 Soils & Foundations r Land Development C U-7 2 6 1932 e RECEIVED L �T �C_O�-rte 7 1 J TN uu .v0 �QR� I� 'T� E/!o 07Ts L `h GA JA-t•-tON .Q r✓r0 KNE A T.Zt—&rLNs4Ao,, 16 UA -ice tt1 f1 `� S? /J MA r r r GD t W '"T—M 6c- f'S G�L�r O F ?—H if- T—i!Cr%rr—g. 1-0 'r- uJATL�,2 /Y1oDT<4F UNE Cti1x4 T/v nr�S r A rf� Tr4 F W A T–�� 1,11 O• rI0'✓ • �C S `I �(CocLC�I-1vt�r Tf�t� /114.ior�'.T/ 0r1tr��i cnv�7i uj4-ofL� A nr,0 CePI-40e-c OC-- Cava' D�A INACeC-- N.G/_. C-7-r-L'1`>T,cs. bj,T�a% iNE /NoOLr'rc-A �t srGnf 1 ((f�ci�O e1l ! /� �� � T r" D� ��a� �. Lai tZ- bT'.t5 �• �''•: irEi � y .'e TSI Ir .� Cu•,il L. O>,cr • v rt It �a c? •, r MUNICIPALANCHORAGE • DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 `t CERTIFICATE OF HEALTH AUTHORITY \r APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# AAI — (tD HAAn 1�E1�1�,1�1LIL� L GENERAL INFORMATION Complete legal description Lot 2• Btock 7;,'Thundeabdn.d Height6 Subd.Ev.c6<on Location (site address or directions) 94536 T undoeh'nd Diiiyp.�htgk, AK Property owner Ma)tk and Veaoniea Dent Day phone 688-0980 Mailing address 24536 Thundeab.i¢d Wve, Chug.iak, AK 99567 Lending agency Mailing Day phone Agent Rau HebeneA/REMAX EAGLE RIVER Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 y 3. TYPE OF WATER SUPPLY: Individual well Community well XXX �' Public water 694-4200 NOTE: If community well syste`n, provide written confirmation from State ADEC attest- ing to the legality and statuo f system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(R. 1/91) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature 6. DHHS SIGNATURE _ Approved for Disapproved. Conditional approval for Additional Comments bedrooms. Phone Date 5 Y� top.�.t A. $hntrl • .,, . • SSU. 14J 1�r •ti: s, bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and theirlending institutions in order to satisfy certain federal and state requirements. Empioyeesof DHHSdo not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(R".1N1) Back MOAa'tt Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description Ler 2 15L -k 1 '�doAoe�$�aA Parcel I.D. A. WELL DATA Well type Log present(Y/N) If A, B, or C, attach ADEC letter. ADEC water system number -7-%105(e Date completed Total depth Cased to Casing Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow SEPARATION DISTANCES FROM WELL TO: Driller Wires properly pro (Y/N) AT INSPECTION � 9 0 j 7 g.p.m. g.rm. ti �M Z Septic/holding tank on lot Zcc 0 ; On adjacent lots k Absorption field on lot Zc �� ; On adjacent lots _ Public sewer main Sewer service line. WATER SAMPLE RESUL Coliform sample: Nitrate Public sewer tank Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed 8Z 1/1187 Tank size 1y0D Td r✓Az Compartments - 3 TDlA-L Cleanouts&N) Foundation cleanout QVN) Depression (Y4 High water alarm (Ya s,eil Date of pumping B - 2.S-- W— Pumper T -Z • GB S s osa t_ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK 0: / f- .J/ Well on lot Zo On adjacent lots A Foundation To property line Absorption field S Water main/service line y0 Surface water/drainage LIPD f 72.026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes on lot —Manufacturer Manhole/Access (Y/N) mp off" level of Cycles tested ANCE FROM LIFT STATION TO: On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed /J87- /1917 Soil rating 1S �IX4 System type -7; EZ_ Jewel Length 5 r �3 r Width 3 t Gravel thi,;kness so �+ r Total depth /61 yltl+ 154 =6 J K' -11 Total absorption area X020 Cleanouts presenteVN) Depression over field (Y6 Date of adequacy test 3—.2 & '93 Results as fail) t��SS for SJR— I bedrooms Peroxide treatment (past 12 months) (Y(M 4d k "a J Ak If yes, give date os t,6, SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 7-.C>6t�- On adjacent lots alp Propertyline lotA_ To building foundation To1@xisting or abandoned system on lot 'mo ��— �1 fol On adjacent lots o Cutbank he Water main/service line (t> Surface water \ d bt k Driveway, parking/vehicle storage area SU Curtain drain 'JL E. ENGINEER'S CERTIFICATION 1 certify that t have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING Signature '?agl@ River I aap Road Nm 204 Eagle River, Alaska 99577 Engineer's Name Date i'117' - / f HAA Fee; / 76 V Date of Payment �` 3 Receipt Number 12-M (A". 3/91) Back MOA 21 4 Waiver Fee: $ _ Date of Payment Receipt Number pF A _`yv 1` .o.A°JL sh.fa `,Nu. 1457-F r•s1 kt�v�».•mow DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 Mr. Ray Shafer S & S Engineering WALTER J. H/CKEL, GOVERNOR March 26, 1993 SUBJECT: Thunderbird Heights Class "A" Public Water System, PWSID 211156 Dear Mr. Shafer: (907) 349-7755 have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on March 1, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on September 14, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on December 1, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on June 4, 1992. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. 11 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH b HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL H87-0383 OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2 Block 7 Thunderbird Heiqhts Subdivision Location (address or directions) (b) Property Owner Homequity Telephone: Home Mailing Address (c) Lending Institution GMAC Mailing Address Telephone Business (d) Real Estate Company and Agent Connie Bates % Jack White Company Address PO Box 771699, Eagle River,Alaska 99577 Telephone 694-5500 (e) Mail the HAA to the foltowino address: or: Check here ❑, if hold for pick up. List contact person and day phone number below. S & S Engineering 17034 Eagle River Loop Road #204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family Ox Number of Bedrooms four(4) 3. WATER SUPPLY Individual Well ❑ Community ❑ Public ®x Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Cix Public ❑ Community ❑ Holding Tank ❑ Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 ^ ?. 72.025 IP" 81861 Front PUS (es,s •+m sco-ci Z to Z abed -lliom s,iaaul6ua leuolssaloid aq) ul suoissiwo io sioiia iol alglsuodsai lou sl a6eloyouV to Apledloiunyl aqi ,panssl si aleoipuao a aiolaq elep aztleue io suolloadsui lonpuoo lou op SHHO io saaAoldw3 -sluawaiinbai alels pue leiapal uieuao Alsiles of iapio ulsuoilnl!lsui6uipualilagipue sawogtosiasegoindof(salino3aseslglsaopSHHOag1-elselVtoale1Sagluipaialsl6ai iaaul6ua leuolssaloid luopuadapul ue Aq anoge S gdei6eied u! uanl6 suolleluasaidai aql uodn Aluo paseq saieoipliao lenoiddV (l!joglny 411eaH sanssl (SHHO) saowaS uewnH pue Wleal-1 to luawlieda0 a6elogouV to (l!ledlolunyy aqj- NOI1nV0 lenoiddV leuolllpuo0 to swial leuoq!puo0 panoiddesia XXXXXXXX PanoiddV L861 ' i £ A1nr aleO Aq swooipaq l4) ano; iol panoiddy 1VAOUddV SHHO '9 •gsol buiaq agaoT;igaaD Zeuibiao auq oq anp sa1i3 quamgavdap aqq uioa; odAq-aa Q si agaot;Tgaa:) sit;y leaS s,iaaul6u3 ale0 60Z# psog dooq aanig a1 vs 6£OLi ssaippV 6L6Z-469 q a auo dalal utaaui us S R S wildloaweN -uolloadsut slgl to alep aqi uo loaga ui suolleln6ai pue'saouewpio'sapoo alelS pue ledlolunyy Ile qi!m ooueildwoo ut s! wals (s lesodslp ialemalsem io/pue Alddns iaiem alts-uo aqi 'uogoodsul pue uolie6!lsanu! Aw woil pue sal!l o6elogow tomucllolunlni aql woil paulelgo uollewolui aqt uo paseq legl A1lian iaglini I'ulaiaq paleolpul ainlonils to adAl pue swooipaq to iagwnu aqi iol alenbape pue leuollounl'ales s! wals (s lesodslp ialemalsem io/puu Alddns ialem al!s-uo aql legl smogs lenoidd V AluoglnV glleaH slgl to uolle6gsanul Aw legl Aluan l'molaq UMOl1S alep uonep!len aqi to se pue olaiaq paxlµe leas Aw Aq palllliao sV NOI1VWilOdNl (3NV V1V0 `HOHV3S Slid'S1S31 'SNO1103dSNl E)NIOIAOHd Wkild E)NIU33NIJN3 'S MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY IW 15 264-4744 Application Date Jatq 14, 1987 1,_ GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2: Mock 7; Thunden6.i&d Heights Subdivision Location (address or directions) (b) Property Owner Home u.it Mailing Address (c) Lending Institution GMAC Mailing Address Telephone: Home Telephone (d) Real Estate Company and Agent JACK WHITE COMPANY/Connie Bates Address P.O. Box 771699, Eagte Riven, Atasha 99577 Telephone 694-5500 (e) Mail the HAA to the following address: or, Check here In, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family Q Number of Bedrooms 3. WATER SUPPLY Individual Well ❑ Community ❑ Public Q Business 0,%deAed by Bates Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL OnsiteZ1 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Departmentof Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 M" 81861 From cove (99,9 "Up 940 -LL Z to Z abed •)jLOm s,J88uI8ua leuo!ssalad ayl ul suo!sslwo Lo sLaLa jol alq!suodsai lou sl a6eLoyouy to Apledlolunyy ayl •panssl sl aleo!pliao a aLolaq elep azAleue jo suoiloadsul lonpuoo lou op SHHO to saaAoldw3 'sluawaiinbei alels pue lejapal u!epao Alslles of LapLo ul suognl!isu! 6ulpual Llayl pue sawoq 10 sLaseyolnd of Asalinoo a se sly) saop SHHO ayl -e)lsely to WIS ayl ui paLals!6ai jaau!6ua leuolssalad luapuadapui ue Ag anoge S ydeAejed u1 uan!6 suolleluasaLdai ayl uodn Aluo paseq sa)eoypao lenwddy Aluoglny ylleaH sanss! (SHHa) sacowaS uewnH Pue ylleaH to )uawpedaa a6eLogouy to AUledlo!unyy ayl NOIlnvo lenaLddy leuollipuoa to swLal leuog!puoa panoLddes!a —?e panaddy 1191 Aq swoapaq (n sol panaddy 1 ) IVAOUddy SHHO '9 alma OOL'ON P9Ob CIMl.WAIN 016e3 KOLL ssaLppy h G _ ouogdalal wLlj to swell •uolioadsui s!yl 10 alep ay1 uo 1oa11a ui suolleln6ai pue'saoueu!pLo'sapoo a1e1S pue ledpiunyy lie yl!m aouelldwoo ul sl walsAs lesods!p ialemalsem jo/pue Alddns jalem aus-uo aU1 'uo!loadsw pue u01le61jsanul Aw woij pue sal!l e6elogouy 10 A)!led!olunyy aqj woLl pau!elgo uopewiolul ay1 uo paseq legl A1uan LaglLnl l uiajaLl paluo!pui aLnlonLls to adAl. pue swoojpaq to Lagwnu ayl Lol alenbape pue leuollounl'ales so walsAs lesodsip ialemalsem Lo/pue Alddns ja1em alts-uo ay) leyt smogs lenoLddy A1lLoy)ny 411eaH s!y)10 uol)e6!lsanu! Aw leyl A11L9n I Imolaq UMOys alep uo!lep!ien a141 10 se pue olaLaq paxille leas Aw Aq palpliao sy NOI1yWHOjNI CNV viva'H011y3S 3l14'S1S31'SN01103dSNl ElMaIAOUd W!!Id UNIU33NION3 'S e-%' ] JJMUNICIPALITY OF ANCHORAGE (MOhr a 3 / ^ \ 17 D 3 THEALTH AUTHORITY APPROVAL (HAA) I CHECKLIST - FEBRUARY 1984 L861 6 Z lnr 264-4720 N0ISIAIOS3D1n33S1N143WN03IAN3 Legal Description: L.,r 7- 39tlL'OH7NV 40 Allltld171Nf1W -TIiJl.11i1614 A. WELL DATA Well Classification A If A, B. C, D.E.C. ApprovedON) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: r To Septic/Held ng Tank on Lot On Adjoining Lots To Nearest Edge of Absorption Field on Lot 14- 4 ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ; Date Water Sample Test Results Comments '�=�a-gt�QS ID 2111sb B. SEPTIC/HOtOM TANK DATA to - Z7 - 82 Date Installed 7-11'87 Size ASOJ re -M No. of Compartments.S�M— Standpipes6Y N) Air -tight Capsd5)N) Foundation Cleanout:L3�N) Depression over Tank (YCQ Date Last Pumped % - / o - 87 Pumping/Maintenance Contract on File (Y/N) for N Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/llok4" Tank: To Water -Supply Well �% � To Building Foundation To Property Line js To Disposal Field S To Water Main/Service Line To Stream. Pond, Lake, or Major Drainage Course / oo -r- Comments S2 S GFSSFt�o� r?✓r rPi ✓6 SPS`% —02 L Page 1 of 2 a 72-026111,841 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design �f« i r i Date Installed Length of Field r � Width o1 Field S, Depth of Field 'c Gravel Bed Thickness 0 Square Feet of Absorption Area ��� 7 Standpipes Present Depression over Field (YA67) Results of Last Adequacy Test Date of Last Adequacy Test % -47 —87 Separation Distance from Absorption Field: To Water -Supply Well Zoo 1i/ To Property Line �O � To Building Foundation Lot ; On Adjoining Lots To Existing or Abandoned System on To Water Main/Service Line %o y'o To Cutbank (if present) 6�p To Stream/Pond/Lake/or Major Drainage Course ✓oe To Driveway, Parking Area, or Vehicle Storage Area ST Comments 26116 l5/o.JS 61 ✓Fid e!MC f:;%2— OJ?_l6/JAt_ 2:5�� AJD T-l��-' —atle- tJffl6p raer7c,J - D. LIFT STATION Date Installed Dimensions Size in Gallons I Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at 4A Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments Check Permitted Bedroom Rating Against HAA Request " I certify that I have checked, verified, or conformed to all OA and HAA guidelines in effect on the date of this inspection. Signe S ENGINEERING Date 17034 p R ve* OOP ' i Z04 Con�lyRlv*r,AI&s"99577 MOA No. '�� `3 Receipt No. S( --,)o I —oo 1 S - Date of Payment 1— ac'1 _%-) Amount: $ IC -XD ck-�) Page 2 of 2 72024 111,84) STEW COKPfR. GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (9071 Addmu: ANCHORAGE/WESTERN DISTRICT Orr ICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA Q9501 DATE:__T 1"I„ ZO• 1-11?Ii ZO. I-1Ft 3 PWS 1.0.N zl�/sG To Whom it May Concern: According to records on file in this office the tk7 ��17 • '77, ..rfL, 13,. -tel /;* h Water System is in compliance with the State Drinking Water Regulations Sincerely, 1. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION . DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date NAS GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) 137 LZ TNUMDERBIRD HEIGHTS Tl6N Al Ul SEC 2S Location (address or directions) SOS TNU/YDER AIRD DR. (b) Applicant NameMERL)N CORM Telephone: Home —688--3283 Business 56/S.31 Applicant Address JOS TNUNAERB)RD Dg CK(IrIA}/{ 5 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well❑ Community)$ Public❑ Note: If community well system• must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite K Public ❑ Community ❑ Holding Tank O Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-02501184) 67 TNUw06R87R0 "HErGHTs 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATIONS' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm -AECS. llil%, Telephone /O Address 1200 I,v- .33464 AaE _ ' *16 ANC/,, AlS, 95''503 Date DHEP APPRO'V�A-(L�—(J) S Approved for hct2az bedrooms by Approved �— Disappro a Conditiona — Terms of Conditional Approval Date CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered In the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (1 V84) OF ANCHXAG: MUNICIPALITY OF ANCHORAGE (MOANCE: T. OF HEALTH is Vi'G::::4E� lThL HEALTH AUTHORITY APPROVAL (HAA FF.CTECTION CHECKLIST - FEBRUARY 1984 n 1986 264-4720 A. WELL DATA COMM (/N/ 7 f' # Well Classification If A, 8, C, D.E.C. Approved (Y/N) _phis /,� 2/1,1:;n6� Well Log Present (Y/N) Total Depth Static Water Level Date Completed Cased to Depth of Grouting Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments I:ml&114idill:Hl40]t [qmmvi;11Zi0 Yield Pump Set At — Sanitary Seal on Casi /N) — Depression Aro Wellhead (Y/N) On Adjoining Lots On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot — ; Date Date Installed Size 1 100 No. of Compartments Standpipes ON) Depression over Tank (Yo Air -tight Caps ON) Foundation Cleanout (9N) w. ,Date Last Pumped 7 V f = Pumping/Maintenance Contract on File (Y/N) / ; for M �/� Holding Tank High -Water Alarm (Y/N) ��- �Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: y. To Water -Supply Well 200 14- To Building Foundation To Property Line js To Disposal Field i To Water Main/Service Line to To Stream, Pond, Lake, or Major Drainage Course ' l 00 i -f— Comments Page 1 of 2 72-02b[11;84) B % L ' rNUN0ER8/RD �I £/Gf/TS C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Zs Type of System Design TRGNC f>< Date Installed T/SZ Length of Field Z 9 Width of Field 3 Depth of Field d Gravel Bed Thickness qg>� Square Feet of Absorption Area yE y Standpipes Present ON) Depression over Field (YAq Date of Last Adequacy Test 7/2/Z96 Results of Last Adequacy Test S%} 16 FACTDR L/ Separation Distance from Absorption Field: To Water -Supply Well 200 t4,— To Property Line !O i To Building Foundation 20 To Existing or Abandoned System on Lot up ; On Adjoining Lots 20"4- To Q"4'To Water Main/Service Line �O r 4— To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /00 To Driveway, Parking Area, or Vehicle Storage Area ZO i�- Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/ "Pump On" Level at "Pump O ' evel at High Water Alarm Level at Vent(Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments " Check Permitted Bedroom Rating Against HAA Request •• Icertifythatl av k_e , erifi d, or conformed to all VOA and HAA guidelines in effect on the date of this inspection. SignediJ Date 7 2 Company MOA No. :V�OZY Receipt No. 10 O ni l) ��� OF A4 Ili++ Date of Payment '8G ��Q•••' yA iVj: ' � �o Amount: $ OU 4 is Srjp0 * > rmcf4mors dkl I-ETrER Of AN�POvAL Csr ti) 0 o2 sfrc PIAN..•••••••••.. •., .�� or a aero, �R 0 ,+ CE -2251 Page 2 of 2 `a i � 'f•/.(�y.,�.c,.�...•' pie +aa�W�ss 77.026 (11,841 60388 r` r^. ALASKA NUIROII nTAL COnTROL S6HUICCS, InC. Engineerinq 6 Enuironmenial Sludies HOME EQUITY SELLER—LILLIAN EDWARDS 1990 NORTH CALIFORNIA BLVD WALNUT CREEK CALIFORNIA 94596 LEGAL:THUNDERBIRD HEIGHTS BLOCK 7 LOT 2 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE—JULY 21 1986 JULY 25 1986 MCHORAGE Derp= ^` TM �` ENVIRONMENTAL. PROTECTION MUL 2,; lgg;. RECEIVED THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 464 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 901 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JULY 24 1986 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. OF A ,4000., G Rio, JR. -24BI _. = 1200 IUrst 33rd Auenur. Suit 6 4 Anchorage. Alaska 99503 9 (907) 5615040 E OF DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 DATE: July 17, 1986 PWS 1.1).# 211156 To Whom it May Concern: BILL SHEFFIELD, GOVERNOR Telephone: (907) Addmu: 274-2533 According to records on file in this office the Thunderbird Heights Subdivision Water System is in Compliance with the State Drinking Water Regulations Sincerely, //a//, f� , ALASKA ENVIRONMENTAL 412 - CONTROL SERVI( , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE. ALASKA 99503 (907) 561.5040 JOB 8L2��7_ /_�(D Q gtF o N SHEET NO 1 OF ��[ 1 CALCULATED BY V TLl DATE-1�- CHECKED BY DATE SCALE I'/= 20 / Time Time Time APPLIC NT FILLS OUT UPPER HAL ONLY r.mpe ;l owner (Qo)i L. Uprde5 5/o 7 nnu p 51 j C)OX 5O0 Orrr� Orr� -7 /Phone hop� 31`-O� Mailing Address FT k Zip Code j (r (p 770— Buyer Inspect ''p�`J \- _ Address Zip Code Lending Institution / /�lGzkq �t0ly lc ENVIRONMENTAL PROTECTION Phone Address ' er r IC Zip Code ]Q .�7 G Realty Co. d Agent ( *,CONDITIONAL APPROVAL' •vw _ - T'7l\ (/r l �(�� �NA'v"`� DATE If Phone Address Zip Code Solis Rating Legal Description .tat 1OCK Well Log Received Street Location -A IIA, dC/I b;rel IO • T- 7- A v Type of Residence JTZ Single Family Cl Multiple Family No. of Bedrooms_ ❑ Other Water Supply ❑ Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. R Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility Sewer Disposal Individual Year Individual Installed: _11LL(1 Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Or AA r Date Date Date Date Inspector Inspector Inspector Inspect ''p�`J \- _ Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF H°.ALTH t. i ENVIRONMENTAL PROTECTION MAR 9 to'-� RECEIVED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL - o ( ) DISAPPROVED ( *,CONDITIONAL APPROVAL' •vw _ - T'7l\ (/r l �(�� �NA'v"`� DATE If _f, �'� Solis Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size G U O Z IO • T- 7- A v Well to Tank rz 023 fro March 14, 1903 Merlin L. Cordes SR 2 Dox 505 T -Bird Drive Chugiak, AK 99567 Subject: Lot 2 Block 7 Thunderbird Heights Approval for the individual sewer and Nater facilities cannot be granted until the followinn items have been completed: ° The depression over the sewer system will need to be filled so that surface water drains away from the sewer system. ° The standpipe to the sewer system need caps on them. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Jim Roberts Associate Environr. ntal Specialist I JR155/p/C1 1 V• t.p o JAS